F550 in Illinois. Pick another state for the same tag.
Against expectation — 2025
Illinois cites F550 more often than its own record predicts
Versus expected share1.31×
1.31 times the share F550 takes of citations nationally.
Share of Illinois citations2.80%
Of every deficiency written in Illinois in 2025, this is the portion that was F550.
Illinois2.80%
National2.13%
Share of all citations that were F550.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Illinois surveyors wrote
F550 findings written in Illinois, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
G · Actual harm, isolatedAugust 14, 2026
Based on observation, interview, and record review, the facility failed to keep a resident's private areas from being exposed for others to see in 1 of 3 residents (R5), when reviewed for resident rights in the sample of 9. Using a reasonable person approach, this failure, verified through interviews regarding R5, who is confused, would cause humiliation, and shame. Findings Include:On 8/12/26 at 7:25 AM, R5 was observed in her room on her mattress on the floor with her gown off, completely exposed with the door open, R5's catheter was on the floor, and she was yelling out help me. R5 is alert to self only. …
D · No harm, potential for more than minimal, isolatedAugust 28, 2026
Based on interview and record review the facility failed to ensure the dignity of one (R1) resident out of three residents reviewed for dignity in a sample list of nine residents. Findings include:R1's Minimum Data Set (MDS) dated [DATE] documents R1 as cognitively intact. R1 requires moderate assistance from staff for eating and oral hygiene and is dependent on staff for toileting, bathing, dressing, personal hygiene, bed mobility and transfers.On 8/28/26 at 9:15 AM R1 stated a Certified Nurse Aide (CNA) (V27) who worked last night (8/25-8/26) on night shift called R1 names. R1 stated V27 would not help R1 with repositioning or empty R1's colostomy bag. R1 stated R1 activated R1's call light and it took two hours before V27 CNA came to help R1. …
C · No harm, potential for minimal, widespreadDecember 5, 2022
Based on observation and interview, the facility failed to provide residents with metal eating utensils for a dignified dining experience. This failure has the potential to affect all 47 residents residing in the facility.
Findings include:
On 11/29/22 at 11:40 AM, R40 said they don't always get real silverware with their meals, and sometimes they give residents plastic utensils. R40 said they do give the residents real knives and they are able to cut their meat up. R40 was alert to person, place, and time.
On 11/29/22 at 12:00 PM, all residents dining in the dementia unit dining room were observed using plastic eating utensils.
On 11/29/22 at 12:15 PM, R4, R5, R6 and R24 were observed eating lunch in the dining room using plastic utensils. …
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